Stručni rad

Sepsis presenting as an acute purulent neonatal epididymo-orchitis: case report

Tomislav Šušnjar ; Department of Pediatric Surgery, University Hospital Center Split and University School of Medicine, Split, Croatia
Klaudio Pjer Milunović ; Department of Pediatric Surgery, University Hospital Center Split and University School of Medicine, Split, Croatia
Marija Bucat ; Department of Pediatric Surgery, University Hospital Center Split and University School of Medicine, Split, Croatia
Veselin Škrabić ; Department of Pediatric Surgery, University Hospital Center Split and University School of Medicine, Split, Croatia
Mihovil Biočić ; Department of Pediatric Surgery, University Hospital Center Split and University School of Medicine, Split, Croatia
Davor Todorić ; Department of Pediatric Surgery, University Hospital Center Split and University School of Medicine, Split, Croatia
Jakov Todorić ; Department of Pediatric Surgery, University Hospital Center Split and University School of Medicine, Split, Croatia

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Sažetak

Epididymitis, epididymo-orchitis, and infected hydrocele are uncommon in the neonatal period. It is very important to diff erentiate
these entities from testicular torsion to salvage the aff ected testis and avoid unnecessary surgical exploration. Escherichia coli is an
important and common cause of sepsis in neonatal period and also a common bacterium causing epididymo-orchitis from
ascending route. We report a case of a newborn aff ected with epididymo-orchitis caused by early onset Escherichia coli sepsis. It is
diffi cult to diff erentiate epididymo-orchitis from testicular torsion in neonatal period because the clinical signs of testicular torsion
and epididymo-orchitis are similar. Color Doppler ultrasonography has an important role in diff erentiation of testicular torsion from
epididymo-orchitis. In spite of clinical signs and ultrasonography, in some cases surgical exploration cannot be avoided to confi rm
the accurate diagnosis.

Ključne riječi

epididymitis; sepsis; spermatic cord torsion; Escherichia coli; infant, newborn; ultrasonography, doppler, color

Hrčak ID:

119789

URI

https://hrcak.srce.hr/119789

Datum izdavanja:

30.9.2013.

Podaci na drugim jezicima: hrvatski

Posjeta: 688 *